WO2018003065A1 - Système de fourniture d'informations médicales et procédé de fourniture d'informations médicales - Google Patents

Système de fourniture d'informations médicales et procédé de fourniture d'informations médicales Download PDF

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Publication number
WO2018003065A1
WO2018003065A1 PCT/JP2016/069453 JP2016069453W WO2018003065A1 WO 2018003065 A1 WO2018003065 A1 WO 2018003065A1 JP 2016069453 W JP2016069453 W JP 2016069453W WO 2018003065 A1 WO2018003065 A1 WO 2018003065A1
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Prior art keywords
medical
information
medical device
past
operation flow
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PCT/JP2016/069453
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English (en)
Japanese (ja)
Inventor
啓吾 高橋
岸　宏亮
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オリンパス株式会社
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Priority to PCT/JP2016/069453 priority Critical patent/WO2018003065A1/fr
Priority to JP2018524664A priority patent/JP6684349B2/ja
Priority to EP16907298.0A priority patent/EP3480774A4/fr
Priority to CN201680086846.9A priority patent/CN109313928B/zh
Publication of WO2018003065A1 publication Critical patent/WO2018003065A1/fr
Priority to US16/223,200 priority patent/US11139054B2/en

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • G06Q10/063—Operations research, analysis or management
    • G06Q10/0631—Resource planning, allocation, distributing or scheduling for enterprises or organisations
    • G06Q10/06311—Scheduling, planning or task assignment for a person or group
    • G06Q10/063112—Skill-based matching of a person or a group to a task
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q50/00—Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
    • G06Q50/10—Services
    • G06Q50/22—Social work or social welfare, e.g. community support activities or counselling services
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment

Definitions

  • the present invention relates to a medical information providing system and a medical information providing method.
  • Patent Document 1 Although the user's past clinical skill can be quantitatively evaluated, it is only for the treatment performed in the past, and provides useful information related to a new medical practice for the patient. I can't do it.
  • the present invention has been made in view of the above-described circumstances, and an object thereof is to provide a medical information providing system and a medical information providing method capable of providing useful information related to a new medical practice for a patient. It is said.
  • One aspect of the present invention is an electronic medical record system that electronically stores medical record information of a plurality of patients, and operation log information generated during operation of a medical device in a past medical practice for at least one patient. Based on the medical device system stored and the medical record information stored in the electronic medical chart system, the operation log information stored in the medical device system is calculated while calculating the degree of difficulty of the past medical practice. Based on the above, the clinical skill of the medical device required for the past medical practice is calculated, and based on the calculated difficulty level and the clinical skill, the past having a similar difficulty level and clinical skill An information processing unit that extracts a medical practice and provides information related to the medical practice corresponding to the extracted medical practice. It is a system.
  • the difficulty level of the past medical practice is calculated by the information processing unit based on the medical chart information of each patient registered in the electronic medical chart system, and is stored for each operator in the medical device system. Based on the operation log information, the information processing unit calculates clinical skills required for past medical practice. Medical practices that have similar difficulty and require similar clinical skills may be referred to each other even if the patient, operator, or type of medical practice is different. The medical practice having the difficulty level and the clinical skill is extracted, and the medical practice related information corresponding to the medical practice is provided.
  • the operation log information is accumulated in association with the operator of the medical device, and the information processing unit determines the operator of the medical device suitable for the medical action as the medical action related information. You may extract and present from the said medical device system. In this way, information on the operator of the medical device suitable for the medical practice for a specific patient is provided, and according to the operator who performed a good treatment in the past medical practice, an equivalent good treatment can be performed. You can know in advance the useful information that will be done.
  • the operation log information is accumulated in association with the type of the medical device, and the information processing unit sets the type of the medical device suitable for the medical action as the medical action related information. You may extract and present from the said medical device system. In this way, information on the type of medical device suitable for the medical practice for the patient is provided, and according to the type of medical device that performed a good treatment in the past medical practice, an equivalent good treatment is performed. It is possible to know in advance the effective information that will be
  • the operation log information is accumulated in association with an operation flow of the past medical action by the medical device, and the information processing unit uses the operation flow as the medical action related information. You may extract and present from a medical device system. By doing in this way, the operation flow of the medical practice with respect to the patient is provided, and even when an operator unfamiliar with the treatment performs, the medical practice can be satisfactorily performed according to the provided operation flow.
  • the operation flow includes a plurality of steps and includes a required time corresponding to each step
  • the information processing unit corresponds to each step of the operation flow as the medical practice related information.
  • the required time may be extracted from the medical device system and presented. In this way, referring to the time required in each step of the operation flow when good treatment has been performed in the past medical practice, even when an operator unfamiliar with the treatment performs the medical practice well Can be carried out.
  • the operation flow includes a plurality of steps and includes attention information corresponding to each step
  • the information processing unit corresponds to each step of the operation flow as the medical practice related information.
  • the attention information may be extracted from the medical device system and presented. In this way, attention information corresponding to each step of the medical practice operation flow for the patient is provided, and even when an operator unfamiliar with the procedure performs, it is preferable to refer to the provided attention information. Can perform medical practice.
  • the said electronic medical chart system accumulate
  • a prognostic evaluation value indicating whether or not the prognosis progress is good may be calculated, and the medical practice related information to be provided may be selected or updated based on the prognostic evaluation value.
  • the medical practice related information relevant to the medical practice with a favorable prognostic evaluation value is selected or updated from the past medical practice having similar difficulty and similar necessary clinical skills. Thereby, it can narrow down and provide information more effective with respect to medical practice.
  • the operation log information is accumulated in association with the past operation flow of the medical action by the medical device, and the operation flow is extracted from the medical device system and provided as the medical action related information. Steps may be included.
  • the operation flow includes a plurality of steps and includes a required time corresponding to each step, and extracts the required time corresponding to each step of the operation flow from the medical device system,
  • the step of providing as medical practice related information may be included.
  • the operation flow includes a plurality of steps, includes attention information corresponding to each step, extracts the attention information corresponding to each step of the operation flow from the medical device system, and The step of providing as medical practice related information may be included.
  • the electronic medical chart system accumulates prognostic information indicating a progress state after the medical practice in association with the patient and the medical practice, and based on the prognostic information, the progress of the prognosis is determined.
  • the method may include a step of calculating a prognostic evaluation value indicating whether the medical condition is good and selecting or updating the medical practice related information to be provided based on the prognostic evaluation value.
  • FIG. 1 is an overall configuration diagram showing a medical information providing system according to an embodiment of the present invention. It is a figure which shows an example of the patient information accumulate
  • FIG. It is a figure which shows the example of data extracted from the database by using the operator A as a key. It is a figure which shows the example of data extracted from the database by using technique P1 as a key. It is a figure which shows the example of data accumulate
  • FIG. It is a figure which shows the example of data shown as a procedure which can be performed by the operator A. It is a figure which shows the correlation with the clinical skill by the operator A, and the clinical skill by the operator C. It is a figure explaining the presence or absence of the correlation of procedures by comparison with the operation flow of technique P1, and the operation flow of technique P2.
  • the medical information providing system 1 includes an electronic medical record system 2, a surgical robot system (medical device system) 3, and an information processing unit 4.
  • the electronic medical chart system 2 electronically stores patient information (medical chart information) of a plurality of patients.
  • Patient information includes biological information and lesion information.
  • the biological information includes the patient's age, sex, height, weight, body type, blood pressure, past procedure history, presence of complications, relative history, and DNA analysis characteristics.
  • the lesion part information includes the classification result, position, size, and the like of the lesion part.
  • the surgical robot system 3 stores operation log information generated during operation of a medical device in a past procedure (medical action) performed by a doctor (operator) on a patient.
  • the operation log information includes the identification information of each operator, the information on the treatment tool used, the type of procedure (medical practice) performed using the procedure tool, the movement trajectory of the procedure tool in the procedure, and the steps of the procedure. It includes information indicating the time required and points to keep in mind when performing a procedure.
  • the information processing unit 4 includes an input unit 5 that is input by a user, and a calculation unit that performs calculations based on patient information from the electronic medical record system 2 and operation log information from the surgical robot system 3. 6, a database 7 for storing calculation results, and a display unit 8 for displaying data extracted by the calculation unit 6 from data stored in the database 7 based on input to the input unit 5.
  • the calculation unit 6 calculates the difficulty d of the procedure using Equation 1.
  • d is the difficulty level
  • ⁇ 0 is the difficulty of the procedure
  • ⁇ n biological information or lesion information
  • k is the number of types of biological information or lesion information
  • the computing unit 6 is configured to calculate clinical skills necessary for medical practice based on operation log information accumulated in the surgical robot system 3.
  • the calculation of clinical skills is performed in the same manner as in Patent Document 1. That is, as the skill improves, the movement is controlled and the treatment can be performed with less movement. Therefore, the smaller the total number of nodes in the movement track of the treatment tool accumulated in the operation log information, the higher the clinical skill is. Is calculated.
  • the database 7 of the information processing unit 4 corresponds to clinical information such as operator identification information, procedure type, patient information, calculated difficulty level, calculated clinical skill and points to be noted. It comes to remember.
  • the medical information providing system 1 When the operator inputs the identification information of the operator, the type of the planned procedure, and patient information to the electronic medical record system 2, the electronic medical record system 2 notifies the information processing unit 4 of the update of the patient information. .
  • the information processing unit 4 acquires patient information and information on the type of planned procedure from the electronic medical record system 2, and the calculation unit 6 calculates the difficulty level of the procedure from the acquired information according to Equation 1. As shown in FIG. 5, the calculated difficulty level of the procedure is stored in the database 7 in association with the procedure type and patient information.
  • the information processing unit 4 performs medical treatment in the procedure performed by the registered operator for the patient in the surgical robot system 3. Since the operation log information generated when the device is operated is accumulated, the operation log information is received from the surgical robot system 3, and the operator's clinical skill for the procedure is calculated.
  • the calculated clinical skill is stored in the database 7 in association with the identification information of the operator of the medical device, the type of technique, the patient information, and the difficulty level.
  • the operation log information accumulated in the surgical robot system 3 when clinical information such as the type of treatment tool used and attention information in the procedure is recorded, the clinical information is also written in association with the database 7.
  • the medical information providing method according to the present embodiment is based on the medical record information of a plurality of patients electronically stored in the electronic medical record system 2, and the difficulty level of past procedures for each patient. And the clinical skill of the medical device required for the procedure based on the operation log information generated during the operation of the medical device in the past procedure for each patient accumulated in the surgical robot system 3
  • Step S2 for calculating, step S3 for extracting a technique having a similar difficulty and clinical skill in the past based on the calculated difficulty and clinical skill, and a step for providing related information corresponding to the extracted technique S4 is included.
  • patient information is input to the electronic medical chart system 2, and an operation log information is stored in the surgical robot system 3 by performing a procedure using the surgical robot system 3 by any operator on the patient.
  • step S1 for calculating the difficulty level and step S2 for calculating the clinical skill are performed, and the database 7 is constructed.
  • the data stored in association with the identification information is data corresponding to a procedure that the operator A has performed in the past, as shown in FIG.
  • the data satisfying a certain condition is a technique that has not been performed by the operator A in the past, and is not stored in association with the identification information of the operator A.
  • the selected procedure may be registered in advance as a related procedure.
  • the difficulty level Q A in the technique P1 performed by the operator A and the difficulty level Q in the technique P1 performed by the other operators B, C, and D are expressed by the following equation (1).
  • the case where it has a relationship is mentioned.
  • ⁇ is a real number of 0 or more.
  • the medical information providing system 1 and the medical information providing method according to the present embodiment not only quantitative evaluation of clinical skills with respect to procedures performed by the user in the past but also stored in the electronic medical record system 2. Since it is based on the degree of difficulty calculated based on the patient information and the clinical skill calculated based on the operation log information stored in the surgical robot system 3, it is difficult for the technique corresponding to another patient or another operator. You can compare on the same scale using degree and clinical skills. Therefore, there is an advantage that useful information related to a new procedure to be performed can be obtained before the procedure is performed, and the procedure can be performed well.
  • a device to be used corresponding to a procedure is determined in advance, or when each operator performs the procedure, information such as which device is effective at which step is recorded.
  • information such as a device stored in association with each other and a step in which the device is used may be presented as useful information.
  • each operator performs the procedure, if notes such as bleeding are likely to occur at which step are recorded, they are stored in association with each other when the user selects the procedure. You may decide to show a notice matter as useful information.
  • the time required for each step in each procedure may be stored, and when the user selects a procedure, the required time for each step stored in association with each procedure may be presented as useful information. .
  • a distribution can be obtained by plotting the clinical skills of procedures by different operators A and C on the horizontal axis and the vertical axis, respectively. r can be calculated.
  • the correlation coefficient r indicating the correlation is expressed by the following equation (3).
  • r S xy / (S x ⁇ S y ) (3)
  • S xy is covariance
  • S x and S y are standard deviations. Therefore, when the correlation coefficient r of clinical skills is 0.8 or more, for example, it can be determined that the correlation is high.
  • the correlation coefficient is calculated for the difficulty level, and the previous techniques P5 and P6 of other operators C determined to have a high correlation with the difficulty level and the clinical skill for the technique P1 are extracted. Good.
  • the results calculated by general classification techniques such as SVM classification techniques, regression analysis, machine learning classification techniques, and other statistical classification techniques, and feature quantity extraction techniques are used. Utilizing this, the relationship between the difficulty level and the clinical skill may be calculated, and the procedures P5 and P6 may be extracted. Furthermore, a similar operation flow technique may be extracted from the operation data.
  • the present invention is not limited to this. For example, by inputting a patient and a procedure, a list of operators who can perform the procedure on the patient may be presented.
  • the information processing unit 4 calculates the correlation between different procedures from the data of a plurality of operators by the following formula 2.
  • r is the correlation coefficient between procedures
  • ⁇ 0 is a predetermined correlation degree
  • ⁇ n is an operation information feature amount (for example, operation data) of each step in the operation flow
  • k is the number of steps f n ( ⁇ n ) is a function for calculating the degree of correlation from the operation information feature quantity.
  • the information processing unit 4 may determine whether or not they are similar by recognizing the operation flow as shown in FIG. 12 from the operation data and detecting the difference.
  • the operation flow of ESD (Endoscopic Subdisciplinary Division) and EMR (Endoscopic Mucosal Selection) are compared, and only the second step is different. It has become so.
  • the information processing unit 4 stores different techniques determined to have a correlation (for example, r> 0.8) in association with each other.
  • the information processing unit 4 can perform the input procedure including information related to the correlated procedure using the procedure information as a key. Search for a person. For example, when the procedure P1 is input, as shown in FIG. 13, the operators A, B, C, and D who have performed the procedure P1 in the past are presented, and the procedure P2 highly correlated with the procedure P1 is highly clinical. An operator E who has skills is also presented.
  • the extracted operator list may be filtered and presented according to a predetermined condition.
  • the operator to be presented may be selected based on the numerical value of clinical skill. In the example shown in FIG. 14, it excludes from the information which shows the operator B with a low clinical skill compared with others.
  • the extracted operators may be sorted according to the value of clinical skill and presented in order of high clinical skill.
  • a histogram may be created so that the degree of clinical skill of each operator can be compared.
  • the electronic medical record system 2 accumulates prognostic information indicating the progress state after the procedure as patient information, as shown in FIG. 16, and the information processing unit 4 is stored in the electronic medical record system 2. Based on the stored prognostic information, a prognostic evaluation value indicating whether or not the prognosis progress is good is calculated by Equation 3, and the prognosis accumulated in the database 7 of the information processing unit 4 as shown in FIG. Information to be provided may be selected or updated based on the evaluation value.
  • e is a prognostic evaluation value
  • ⁇ n is prognostic information
  • k is the number of types of prognostic information
  • f n ( ⁇ n ) is a function for calculating an evaluation value from prognostic information.
  • the prognostic evaluation value calculated based on the prognostic information is multiplied by the difficulty level and the clinical skill to calculate the clinical evaluation value E total by the following formula (4), and ranking is performed in descending order of the clinical evaluation value. May be.
  • E total d ⁇ t ⁇ e (4)
  • d is a difficulty level
  • t is a clinical skill
  • e is a prognostic evaluation value.
  • the clinical evaluation value it may be possible to confirm what kind of treatment has been performed when the clinical evaluation value is high. For example, even if clinical information such as the type of treatment tool used is stored in association with the electronic medical record system 2 and the operator is selected, the stored clinical information may be presented. Good. Further, when the operation flow of the procedure is stored in association with each other, what kind of treatment tool is used in which step may be displayed. Further, as the clinical evaluation value, a simple arithmetic operation by multiplying the difficulty level and the clinical skill, adding or multiplying the coefficient may be adopted.
  • clinical skill information and other operation log information are compared from data with high clinical evaluation values, and actions, treatment tools, and other information correlated with the high clinical evaluation values are extracted. You may decide to notify when performing operation

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Abstract

Selon la présente invention, afin de fournir des informations utiles concernant un nouveau traitement médical pour un patient, un système de fourniture d'informations médicales (1) selon la présente invention comporte : un système de dossier médical électronique (2) dans lequel des dossiers médicaux d'une pluralité de patients sont accumulés électroniquement ; un système de dispositif médical (3) dans lequel des informations de journal de fonctionnement générées pendant le fonctionnement de dispositifs médicaux utilisés dans des traitements médicaux passés sont fournies pour au moins un patient ; et une unité de traitement d'informations (4) qui calcule le degré de difficulté dans un traitement médical passé sur la base des dossiers médicaux accumulés dans le système de dossier médical électronique (2), et en même temps, qui calcule la compétence clinique d'un dispositif médical requis pour le traitement médical passé sur la base d'informations de journal de fonctionnement accumulées dans le système de dispositif médical (3), et, sur la base du degré de difficulté et de compétence clinique, extrait un traitement médical passé ayant un degré similaire de difficulté et de compétence clinique, puis fournit des informations relatives au traitement médical correspondant au traitement médical extrait.
PCT/JP2016/069453 2016-06-30 2016-06-30 Système de fourniture d'informations médicales et procédé de fourniture d'informations médicales WO2018003065A1 (fr)

Priority Applications (5)

Application Number Priority Date Filing Date Title
PCT/JP2016/069453 WO2018003065A1 (fr) 2016-06-30 2016-06-30 Système de fourniture d'informations médicales et procédé de fourniture d'informations médicales
JP2018524664A JP6684349B2 (ja) 2016-06-30 2016-06-30 医療情報提供システムおよび医療情報提供方法
EP16907298.0A EP3480774A4 (fr) 2016-06-30 2016-06-30 Système de fourniture d'informations médicales et procédé de fourniture d'informations médicales
CN201680086846.9A CN109313928B (zh) 2016-06-30 2016-06-30 医疗信息提供系统以及医疗信息提供方法
US16/223,200 US11139054B2 (en) 2016-06-30 2018-12-18 Medical-information providing system and medical-information providing method

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PCT/JP2016/069453 WO2018003065A1 (fr) 2016-06-30 2016-06-30 Système de fourniture d'informations médicales et procédé de fourniture d'informations médicales

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CN109313928A (zh) 2019-02-05
JP6684349B2 (ja) 2020-04-22
US11139054B2 (en) 2021-10-05
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